| Ml Enrichment Services Inc. | |
|
5682 Palazzo Way Unit 101 Douglasville GA 30134-2500 | |
| (404) 397-1976 | |
| Not Available |
| Full Name | Ml Enrichment Services Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5682 Palazzo Way, Douglasville, Georgia |
| Authorized Official Name and Position | Michelle Lindsay-bailey (OWNER) |
| Authorized Official Contact | 4043971976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ml Enrichment Services Inc. 5682 Palazzo Way Suite 101 Douglasville GA 30134-2500 Ph: (404) 397-1976 | Ml Enrichment Services Inc. 5682 Palazzo Way Unit 101 Douglasville GA 30134-2500 Ph: (404) 397-1976 |
| NPI Number | 1447539671 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 02/09/2015 |
| Medicare PECOS PAC ID | 5799009882 |
|---|---|
| Medicare Enrollment ID | O20150120002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447539671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003799 (Georgia) | Primary |
| Provider Name | Michelle S Lindsay-bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215958897 PECOS PAC ID: 8729085154 Enrollment ID: I20150220001789 |
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